(incorporating eIMA News)
31st March 2016
Editorial (Dr SS Agarwal, Dr K K Aggarwal)
Team IMA Meeting with Attorney General of India
Issue No. 1 - IMA is registered under Section 12AA of Income Tax Act and is carrying charitable activities. As per Notification No. 25/2012 issued by Service Tax Department, service tax is not applicable on entities which are registered under Section 12AA of Income Tax Act. But, the service tax department is still imposing service tax on such entities. Query: Whether the service tax is applicable on IMA and its branches or not?
Outcome: IMA to write a letter to the Ministry of Finance thereby requesting the Ministry to issue a circular for clarifying that the entities which are registered under Section 12AA of the Income Tax Act, 1961 and which are charitable are exempted from service tax on all modes of income.
Issue No. 2: The Hon'ble High Court of Delhi in the matter titled as "Indian Medical Association versus Union of India, W.P(C) No. 2721/2014 has issued certain directions w.r.t. the implementation of PC&PNDT Act vide order dated 17.02.2016. Query: Till date no direction of said order has been complied by the Govt. of India.

Outcome: IMA to write a representation to the Secretary of Ministry of Health thereby requesting them to implement the directions as given by Hon'ble High Court of Delhi vide order dated 17.02.2016. 3. Issue No.3: Ministry of Health had issued a notification in the month of October, 2014 thereby formulating new set of Rules with 85% pictorial health warning on both sides of the pack. However, the Parliamentary Committee in its report had recommended for delaying the implementation of the said notification. 
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Top News
Practice Updates
AAGP 2016 Update: Combination therapy cleans up hoarding symptoms
Pediatrics Update: Breastfeeding lowers risk of URIs
Lighter Reading
Medicolegal Corner
eMedi Quiz

A)     Mantoux reading is affected
B)      CSF parameters are affected
C)      First line management is affected
D)     TB is caused by atypical mycobacteria
Photo Quiz
Webcast & Video of the Day
Lifestyle Updates
eWellness: Keep your kidneys healthy
We all want our kidneys to last for a lifetime. We all should show our love for kidneys by adopting a 10-step program for protecting kidney health.  One should begin with monitoring blood pressure and controlling weight and then move on to the rest of the kidney-healthy tips...Read more

eSpiritual: Why is Gayatri Mantra one of the main mantras in any pooja?
Any activity should always engage the 3H model – of heart, the head, and the hand. The same has been advocated by the western scholars. The concept means that while doing any work one should ask the head for choices, then...Read more

Inspirational Story: Moment of truth
There was a young student-archer who reached such proficiency in his art that he could shoot an arrow into a tree and then cleave that arrow into two with the next shot. He began to boast that he was a greater archer than...Read more
eMediNexus Specialty Weekly Newsletters
Second Opinion Required
Dr Aditya Saraf -  hypertensive 56 yr male complains of difficulty initiating micturition, terminal dribbing and nocturia, pesence of microscopic haematuria,, prostate gland was non-tender, hard, enlarged and irregularly nodular, with loss of the midline sulcus; what action would you take? 
Dr Diti Sharma - woman of 28 years presents to emergency department with severe abdominal pain and nausea, no major previous history; what are appropriate intial investigations?
Dr Paromita Sarkar - which autoantibodies is most associated with poor foetal cardiac function with respect to a 31 yr old pregnant female with a history of malar rash, photosensitivity and joint pain in her hands as seen in the antenatal clinic??
Dr Dharmendra Kumar - in a case of acute pancreatitis which investigations are of diagnostic but not of prognostic value?
Dr Mukund Bairathi - pricking sensation on the tip of a 36 yr man's index finger, which progressed to his left hand and arm in 2 mts. he said he had similar episodes in previous fw months and resolved on own, loss of consciouness and motor weakness associated; could this be jacksonian seizure?? 
Dr Kanan Banerji - 69 yr old female pt has glomerular filtration rate of 65 mL/min/1.73 m2; a renal biopsy reveals nodular glomerulosclerosis, microalbuminuria for 1 yr; what is differential diagnosis do you look at?
Dr Shweta Jain - a 70 yr old male complained of near syncope and SOB. No chest pain. Slow pulse. Later diagnosed STEMI. But does STEMI not always have chest pain or SOB?
Press Release
A healthy diet is key for a long and healthy life
New Delhi, March 30, 2016: A balanced and healthy lifestyle is the key to preventing and reversing common lifestyle disorders such as a high blood pressure, diabetes, obesity, cancers, osteoporosis, heart attack, metabolic syndrome, fatty liver and polycystic ovarian disease amongst others. And the first step towards living a healthy life is to maintain an ideal weight. 

A fad of going on crash diets, stressful work environments encouraging people to eat comfort foods, all day desk jobs and size zero concept have increasingly distorted a person’s definition of an ideal weight and wholesome eating. What most people do not understand is that a healthy diet not just requires consuming calories equivalent to thirty times their current weight; it also means that the right balance of macro and micronutrients should be eaten. 

While macronutrients are the chemical components of food such as carbohydrates, proteins and fats that provide the body with energy and are needed in large quantities; micronutrients are required in small amounts and include several minerals and vitamins. When consumed in the right quantities and balanced with adequate physical exercise, these can help a person prevent most common lifestyle disorders.
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Yoga for Health
Impact of Yoga on heart rate

Autonomic balance tilts toward parasympathetic predominance after 1 month practice of yoga. (Int J Yoga. 2016 Jan-Jun;9(1):62-6)
Forbes Quote of the Day
IMA Updates
IMA TB Initiative 
IMA Starts Nodal center for adverse drug reactions

IMA PvPI Initiative has started a nodal center at IMA headquarters. All IMA members can now report adverse reactions to drugs, vaccines, medical devices, Blood products and herbal products at IMA PvPI helpline 9717776514, open Monday to Friday 9-5.30PM
IMA Lybrate Initiative: Ask the Specialist & others 
IMA Polio Dates
  • April 1st: tOPV would not be available after this date.
  • April 11th: bOPV would be available in private market but it is not to be opened or used before 25th April.
  • April 25: IMA Polio Switch Day, when tOPV would be completely withdrawn and replaced by bOPV in both routine immunization and polio campaigns.
  • 9th May: IMA National Validation Day when India would be declared free of tOPV. 

IMA Satyagraha - https://www.youtube.com/watch?v=UV1zCH33BlU

Dr Good Dr Bad And Make Sure
eIMA News Update
Digital IMA
The Indian Medical Association (IMA) presents a series of weekly webcasts for the benefit of the Indian medical profession, engaging you with the latest in advocacy efforts for doctors, through an interactive exclusive digital webcast partnership with eMediNexus.
Next Webcast: 31st  March 2016
Topic: Tobacco Control
 Faculty  : Dr. Manu Mathur, Research Scientist & Assistant Professor, PHFI